Jaloukavacharana in the management of Conjunctival Pyogenic Granuloma (Varthmarbudha) - A Single Case Study

Abstract

Introduction: Conjunctival Pyogenic Granuloma is the most prevalent benign vascular growth appearing as a smooth, red, sessile/pedunculated lesion on the palpebral conjunctiva. The patient's eye is irritated by the growth in the palpebral region, which interferes with daily activities. On a very slight trauma, these lesions frequently bleed. Based on the symptoms pyogenic granuloma can be correlated with Vartma Arbudha. Case: A 29-year-old male patient presented to our OPD with a complaint of mild irritation in the left eye with a painless lesion grown in size over 5-6 days. On examination, a non-tender, mobile, thick red polypoidal papule with irregular margins measuring about 5-6 mm in length over the palpebral conjunctiva of the lower eyelid was examined. Based on complaints and examination findings, the patient was diagnosed with Pyogenic Granuloma of the lower palpebral conjunctiva (Vartma Arbudha). Treatment: Vartma Arbudha is caused by the vitiation of Rakta and Tridosha. Hence, Raktamokshana by Jalouka was adopted with Kanchanara Guggulu orally and Opthocare Eye drops For instillation in the affected eye.  Result: After the therapy, a noticeable reduction in the size of the lesion was seen with symptomatic relief from irritation and discomfort within one week.  Discussion: Vartma Arbudha is a Rakta Pitta Pradhana Sannipataja Vyadhi. Raktamokshana is considered to be the best among the treatment modalities of vitiated Rakta and Pitta. Jaloukavacharana, one among Raktamokshana mainly indicated in Pittaja Vyadhi, eliminates vitiated blood from the application region. Kanchnara Guggulu has the Shothahara property reducing the swelling. Opthacare eye drops give a smoothening effect to the eye reducing the asthenopic symptoms. Conclusion: The adoption of Jaloukavacharana along with oral shothahara dravyas helps in better management of Pyogenic granuloma.